Open Reduction and Internal Fixation Surgery

Definition

An open reduction and internal fixation (ORIF) is a type of surgery used to fix broken bones. This is a two-part surgery. First, the broken bone is
reduced
or put back into place. Next, an
internal fixation
device is placed on the bone. This can be done with screws, plates, rods, or pins that are used to hold the broken bone together.

Reasons for Procedure

This surgery is done to repair fractures that would not heal correctly with casting or splinting alone.

Possible Complications

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

Infection

Bleeding

Reaction to anesthesia

Blood clots

Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:

Tetanus shot
—depending on the type of fracture and if your immunization is not current

An anesthesiologist will talk to you about anesthesia for your surgery.

If your surgery is urgent, you may not have time to fast beforehand; make sure to tell your doctor and the anesthesiologist when you last ate and drank.

If your surgery is scheduled, you may be asked to stop taking certain medications up to a week in advance.

Anesthesia

General anesthesia
may be used. It will block any pain and keep you asleep during the surgery. In some cases, a spinal anesthetic, or more rarely a local block, may be used to numb only the area where the surgery will be done. This will depend on where the fracture is located and the time it will take to perform the procedure.

Description of Procedure

Each ORIF surgery differs based on the location and type of fracture. In general, a breathing tube may be placed to help you breathe while you are asleep. Then, the surgeon will wash your skin with an antiseptic and make an incision. Next, the broken bone will be put back into place. Next, a plate with screws, a pin, or a rod that goes through the bone will be attached to the bone to hold the broken parts together. The incision will be closed with staples or stitches. A dressing and/or cast will then be applied.

Immediately After Procedure

After your surgery, you will be taken to the recovery room for observation. Your blood pressure and breathing will be monitored. Your pulse and the nerves close to the broken bone will also be checked.

How Long Will It Take?

An ORIF surgery can take several hours depending on the fracture and the bone involved.

How Much Will It Hurt?

Anesthesia prevents pain during surgery. Pain and discomfort after the surgery can be managed with medications.

Average Hospital Stay

This procedure is done in a hospital setting. Your length of stay will depend on your surgery. You may be in the hospital for 1-7 days.

Post-procedure Care

At the Hospital

After surgery, you will be given nutrition through an IV until you are able to eat and drink.

You will be asked to get out of bed and walk 2-3 times a day to prevent complications.

You will begin physical therapy to learn how to move. You will also be shown exercises to regain muscle strength and range of motion.

You will learn how to properly use any assisted devices, such as a a
wheelchair
or
crutches
.

You will be asked to
cough and breathe deeply
to prevent
lung problems.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.